Current strategies for osteochondral regeneration: from stem cells to pre-clinical approaches.

Damaged cartilage tissue has no functional replacement alternatives and current therapies for bone injury treatment are far from being the ideal solutions emphasizing an urgent need for alternative therapeutic approaches for osteochondral (OC) regeneration. The tissue engineering field provides new possibilities for therapeutics and regeneration in rheumatology and orthopaedics, holding the potential for improving the quality of life of millions of patients by exploring new strategies towards the development of biological substitutes to maintain, repair and improve OC tissue function. Numerous studies have focused on the development of distinct tissue engineering strategies that could result in promising solutions for this delicate interface. In order to outperform currently used methods, novel tissue engineering approaches propose, for example, the design of multi-layered scaffolds, the use of stem cells, bioreactors or the combination of clinical techniques.

[1]  Hwa-Chang Liu,et al.  Cartilage tissue engineering on the surface of a novel gelatin-calcium-phosphate biphasic scaffold in a double-chamber bioreactor. , 2004, Journal of biomedical materials research. Part B, Applied biomaterials.

[2]  R. Reis,et al.  Adipose tissue-derived stem cells and their application in bone and cartilage tissue engineering. , 2009, Tissue engineering. Part B, Reviews.

[3]  T. Birmingham,et al.  Alignment, body mass and their interaction on dynamic knee joint load in patients with knee osteoarthritis. , 2010, Osteoarthritis and cartilage.

[4]  A. Menderes,et al.  Repair of cartilage defects with periosteal grafts. , 2005, British journal of plastic surgery.

[5]  Dietmar Werner Hutmacher,et al.  State of the art and future directions of scaffold‐based bone engineering from a biomaterials perspective , 2007, Journal of tissue engineering and regenerative medicine.

[6]  A. Romeo,et al.  Osteochondritis Dissecans of the Capitellum , 2010, The American journal of sports medicine.

[7]  Anthony Atala,et al.  Isolation of amniotic stem cell lines with potential for therapy , 2007, Nature Biotechnology.

[8]  A. Georgoulis,et al.  Advances in articular cartilage repair. , 2005, Injury.

[9]  G. Vunjak‐Novakovic,et al.  Spatial regulation of human mesenchymal stem cell differentiation in engineered osteochondral constructs: effects of pre-differentiation, soluble factors and medium perfusion. , 2010, Osteoarthritis and cartilage.

[10]  R. Tuan,et al.  A nanofibrous cell‐seeded hydrogel promotes integration in a cartilage gap model , 2009, Journal of tissue engineering and regenerative medicine.

[11]  Kevin Eggan,et al.  Progress toward the clinical application of patient-specific pluripotent stem cells. , 2010, The Journal of clinical investigation.

[12]  R. Reis,et al.  Bilayered chitosan-based scaffolds for osteochondral tissue engineering: influence of hydroxyapatite on in vitro cytotoxicity and dynamic bioactivity studies in a specific double-chamber bioreactor. , 2009, Acta biomaterialia.

[13]  Jian Li,et al.  A minimal common osteochondrocytic differentiation medium for the osteogenic and chondrogenic differentiation of bone marrow stromal cells in the construction of osteochondral graft. , 2009, Tissue engineering. Part A.

[14]  G. Vásárhelyi,et al.  Autologous osteochondral grafting--technique and long-term results. , 2008, Injury.

[15]  Antonios G Mikos,et al.  Repair of osteochondral defects with biodegradable hydrogel composites encapsulating marrow mesenchymal stem cells in a rabbit model. , 2010, Acta biomaterialia.

[16]  R. Reis,et al.  Novel genipin-cross-linked chitosan/silk fibroin sponges for cartilage engineering strategies. , 2008, Biomacromolecules.

[17]  A. Bhosale,et al.  Articular cartilage: structure, injuries and review of management. , 2008, British medical bulletin.

[18]  G. Im,et al.  Do adipose tissue-derived mesenchymal stem cells have the same osteogenic and chondrogenic potential as bone marrow-derived cells? , 2005, Osteoarthritis and cartilage.

[19]  D. Carter,et al.  Pressure and Shear Differentially Alter Human Articular Chondrocyte Metabolism: A Review , 2004, Clinical orthopaedics and related research.

[20]  A. Tanigami,et al.  In vivo mechanical condition plays an important role for appearance of cartilage tissue in ES cell transplanted joint , 2008, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[21]  Ivan Martin,et al.  Orderly osteochondral regeneration in a sheep model using a novel nano‐composite multilayered biomaterial , 2009, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[22]  D. Muehrcke,et al.  Calcium phosphate cements improve bone density when used in osteoporotic sternums. , 2009, The Annals of thoracic surgery.

[23]  D. Xue,et al.  Osteochondral repair using porous poly(lactide-co-glycolide)/nano-hydroxyapatite hybrid scaffolds with undifferentiated mesenchymal stem cells in a rat model. , 2010, Journal of biomedical materials research. Part A.

[24]  L. Sharma,et al.  Epidemiology of osteoarthritis: An update , 2006, Current rheumatology reports.

[25]  M. Handl,et al.  Composite hyaluronate-type I collagen-fibrin scaffold in the therapy of osteochondral defects in miniature pigs. , 2007, Physiological research.

[26]  Shigeyuki Wakitani,et al.  Autologous Bone Marrow Stromal Cell Transplantation for Repair of Full-Thickness Articular Cartilage Defects in Human Patellae: Two Case Reports , 2004, Cell transplantation.

[27]  R L Reis,et al.  Starch–poly(ε‐caprolactone) and starch–poly(lactic acid) fibre‐mesh scaffolds for bone tissue engineering applications: structure, mechanical properties and degradation behaviour , 2008, Journal of tissue engineering and regenerative medicine.

[28]  R. Reis,et al.  Stimuli-responsive chitosan-starch injectable hydrogels combined with encapsulated adipose-derived stromal cells for articular cartilage regeneration , 2010 .

[29]  K. Kuettner,et al.  Cartilage degeneration in different human joints. , 2005, Osteoarthritis and cartilage.

[30]  D J Hunter,et al.  Risk stratification for knee osteoarthritis progression: a narrative review. , 2009, Osteoarthritis and cartilage.

[31]  Smith Js Osteochondritis dissecans of the patellofemoral joint. , 2001 .

[32]  A. Gross,et al.  Long-Term Followup of the Use of Fresh Osteochondral Allografts for Posttraumatic Knee Defects , 2005, Clinical orthopaedics and related research.

[33]  Kyriacos A Athanasiou,et al.  Hydrostatic pressure in articular cartilage tissue engineering: from chondrocytes to tissue regeneration. , 2009, Tissue engineering. Part B, Reviews.

[34]  Dietmar W Hutmacher,et al.  Repair of large articular osteochondral defects using hybrid scaffolds and bone marrow-derived mesenchymal stem cells in a rabbit model. , 2006, Tissue engineering.

[35]  S. Bryant,et al.  Cell encapsulation in biodegradable hydrogels for tissue engineering applications. , 2008, Tissue engineering. Part B, Reviews.

[36]  Su-yeon Kim,et al.  Novel hyaluronate-atelocollagen/beta-TCP-hydroxyapatite biphasic scaffold for the repair of osteochondral defects in rabbits. , 2009, Tissue engineering. Part A.

[37]  Ung-Jin Kim,et al.  Bone tissue engineering with premineralized silk scaffolds. , 2008, Bone.

[38]  W. Richter,et al.  An in vivo study of a growth-factor enhanced, cell free, two-layered collagen-tricalcium phosphate in deep osteochondral defects. , 2006, Biomaterials.

[39]  J T Oliveira,et al.  Polysaccharide‐based materials for cartilage tissue engineering applications , 2011, Journal of tissue engineering and regenerative medicine.

[40]  H. Fujioka,et al.  Treatment of a full-thickness articular cartilage defect in the femoral condyle of an athlete with autologous bone-marrow stromal cells. , 2007, Osteoarthritis and cartilage.

[41]  S. Bulstra,et al.  Human periosteum‐derived cells from elderly patients as a source for cartilage tissue engineering? , 2008, Journal of tissue engineering and regenerative medicine.

[42]  Guangdong Zhou,et al.  Repair of porcine articular osteochondral defects in non-weightbearing areas with autologous bone marrow stromal cells. , 2006, Tissue engineering.

[43]  Stefan Milz,et al.  Comparison of mesenchymal stem cells from bone marrow and adipose tissue for bone regeneration in a critical size defect of the sheep tibia and the influence of platelet-rich plasma. , 2010, Biomaterials.

[44]  C. Kaps,et al.  Human mastoid periosteum‐derived stem cells: promising candidates for skeletal tissue engineering , 2008, Journal of tissue engineering and regenerative medicine.

[45]  Rui L Reis,et al.  Novel hydroxyapatite/chitosan bilayered scaffold for osteochondral tissue-engineering applications: Scaffold design and its performance when seeded with goat bone marrow stromal cells. , 2006, Biomaterials.

[46]  A. Nagler,et al.  Tissue regeneration potential in human umbilical cord blood. , 2010, Best practice & research. Clinical haematology.

[47]  G. Bentley,et al.  An overview of autologous chondrocyte implantation. , 2009, The Journal of bone and joint surgery. British volume.

[48]  Li Ren,et al.  Synovium-derived mesenchymal stem cells: a new cell source for musculoskeletal regeneration. , 2009, Tissue engineering. Part B, Reviews.

[49]  G. Ateshian,et al.  Anatomically shaped osteochondral constructs for articular cartilage repair. , 2003, Journal of biomechanics.

[50]  M Busacca,et al.  A novel nano-composite multi-layered biomaterial for treatment of osteochondral lesions: technique note and an early stability pilot clinical trial. , 2010, Injury.

[51]  O. Parolini,et al.  Isolation and characterization of mesenchymal cells from human fetal membranes , 2007, Journal of tissue engineering and regenerative medicine.

[52]  H. Mizuno Adipose-derived stem cells for tissue repair and regeneration: ten years of research and a literature review. , 2009, Journal of Nippon Medical School = Nippon Ika Daigaku zasshi.

[53]  A. Murdoch,et al.  Derivation, growth and applications of human embryonic stem cells. , 2004, Reproduction.

[54]  Rui L Reis,et al.  In situ functionalization of wet‐spun fibre meshes for bone tissue engineering , 2011, Journal of tissue engineering and regenerative medicine.

[55]  M. Gomes,et al.  Injectable gellan gum hydrogels with autologous cells for the treatment of rabbit articular cartilage defects , 2010, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[56]  Rui L Reis,et al.  Tissue-engineered constructs based on SPCL scaffolds cultured with goat marrow cells: functionality in femoral defects. , 2011, Journal of tissue engineering and regenerative medicine.

[57]  Y. Kato,et al.  Transplantation of autologous rabbit BM-derived mesenchymal stromal cells embedded in hyaluronic acid gel sponge into osteochondral defects of the knee. , 2006, Cytotherapy.

[58]  Michael S Detamore,et al.  Human umbilical cord mesenchymal stromal cells in a sandwich approach for osteochondral tissue engineering , 2011, Journal of tissue engineering and regenerative medicine.

[59]  R. Reis,et al.  The effect of insulin-loaded chitosan particle-aggregated scaffolds in chondrogenic differentiation. , 2010, Tissue engineering. Part A.

[60]  R. Aspden,et al.  Composition and Mechanical Properties of Cancellous Bone from the Femoral Head of Patients with Osteoporosis or Osteoarthritis , 1997, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[61]  Anders Lindahl,et al.  Autologous Chondrocyte Transplantation , 2002, The American journal of sports medicine.

[62]  Naoto Endo,et al.  Comparison of hydroxyapatite and beta tricalcium phosphate as bone substitutes after excision of bone tumors. , 2005, Journal of biomedical materials research. Part B, Applied biomaterials.

[63]  R. Reis,et al.  Silk fibroin microparticles as carriers for delivery of human recombinant bone morphogenetic protein-2: in vitro and in vivo bioactivity. , 2010, Tissue engineering. Part C, Methods.

[64]  A. Caplan Adult mesenchymal stem cells for tissue engineering versus regenerative medicine , 2007, Journal of cellular physiology.

[65]  A. Zoga,et al.  Osteochondral lesions about the ankle. , 2008, Radiologic clinics of North America.

[66]  C. Lattermann,et al.  Osteochondral allografts: state of the art. , 2009, Clinics in sports medicine.